Healthcare Provider Details

I. General information

NPI: 1992108377
Provider Name (Legal Business Name): AMBER BARNETT MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W WALKER AVE
ASHEBORO NC
27203-6760
US

IV. Provider business mailing address

284 EXECUTIVE PARK DR SUITE 100
CONCORD NC
27025-1894
US

V. Phone/Fax

Practice location:
  • Phone: 336-633-7000
  • Fax: 336-625-3817
Mailing address:
  • Phone: 704-939-1100
  • Fax: 704-939-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10002A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: